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Area of Science:

  • Public Health
  • Health Services Research
  • Implementation Science

Background:

  • Improving linkage to HIV care within 72 hours of diagnosis is critical.
  • The Red Carpet Entry (RCE) program is an evidence-informed intervention designed to enhance this linkage.
  • Effective implementation requires robust support tools.

Purpose of the Study:

  • To evaluate a novel implementation toolkit designed to support the adoption and effective use of the RCE program.
  • To assess the toolkit's impact on implementation processes, contexts, and outcomes.
  • To gather feedback from clinic staff on the toolkit's usability and utility.

Main Methods:

  • A rigorous evaluation of the RCE implementation toolkit was conducted over 8 months at two clinic sites.
  • Implementation processes, contexts, and outcomes were assessed.
  • Key implementation staff (n=9) were surveyed and interviewed for routine feedback.

Main Results:

  • The toolkit supported high-fidelity implementation of RCE, with clinics delivering 85-100% of intended services.
  • One clinic site observed an improvement in linkage to care from 68% to 77% post-RCE implementation.
  • Staff found toolkit components informative but suggested improvements for conciseness and navigation.

Conclusions:

  • The RCE implementation toolkit shows preliminary evidence of supporting effective program implementation.
  • The study reinforces the positive impact of RCE on linkage to HIV care.
  • Refinement of the toolkit based on staff feedback enhances its utility for integrating evidence-based practices.